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Individual

BONIFASIO SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5586 CANOE RIDGE CT, LAS VEGAS, NV 89141-8796
(213) 858-3804
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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